| NPI | 1891916169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN T LEHMAN Office Manager 317-844-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: IN 7033) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |